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Ann Thorac Surg 1978;25:470-473
© 1978 The Society of Thoracic Surgeons

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Articles

Delayed Mediastinal Infection after Ventricular Aneurysm Resection

Department of Surgery, West Side Veterans Administration Hospital, and the Abraham Lincoln School of Medicine of the University of Illinois College of Medicine, Chicago, IL

Accepted for publication August 12, 1977.

^* Address reprint requests to Dr. Engelman, Baystate Medical Center, Springfield, MA 01103

A patient developing delayed mediastinal infection following ventricular aneurysm resection and double coronary bypass is presented. The source of sepsis was infection of a ventriculotomy incision that had been closed with Teflon-felt buttresses. Diagnosis was established by an increasing opacity on the lateral chest roentgenogram with a stable sternal wound. Treatment was ultimately successful only after removal of the infected Teflon and replacement by simple mattress closure. The need to remove the infected foreign body was clearly established by the initially unsuccessful attempt at simple debridement.

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